Mehra M, Dewan S, Aggarwal S, Garg S
Department of Preventive and Social Medicine, Maulana Azad Medical College, New Delhi.
Indian Pediatr. 1990 Apr;27(4):342-6.
A major purpose of the immunization coverage evaluation surveys to document the vaccination status of children aged 1-2 years was to determine the true picture of the immunization status of the target population and to identify areas which need strengthening. Immunization coverage evaluation surveys were carried out for a 2.4 lakh rural and 2.2 lakh urban population of Delhi by the cluster sampling method. A total of 210 and 212 children, respectively aged 12 to 23 months, were included in the study in 30 randomly selected clusters in each zone. The percentage of children immunized with DPT3/OPV3/BCG was 70.0 and 73.1 in the rural and city zones, respectively while those immunized with DPT3/OPV3/BCG/Measles was only 30.0 and 37.3% in the two zones. Dropout rate for DPT and OPV, I to III was 16-18%. The drop out rate between DPT and OPV II and III was higher than that between DPT and OPV II and II. Percentage of non-immunized children was significantly higher in rural (8.0%) as compared to urban areas (2.3%). Maximum immunizations were done by the Health Centres. Done on a periodic basis, a coverage evaluation survey will show whether or not vaccination coverage objectives have been met.
免疫接种覆盖率评估调查的一个主要目的是记录1至2岁儿童的疫苗接种状况,以确定目标人群免疫接种状况的真实情况,并找出需要加强的领域。通过整群抽样方法,对德里24万农村人口和22万城市人口进行了免疫接种覆盖率评估调查。在每个区域随机选择的30个群组中,分别有210名和212名年龄在12至23个月的儿童被纳入研究。在农村和城市区域,接种三联疫苗/口服脊髓灰质炎疫苗3/卡介苗的儿童比例分别为70.0%和73.1%,而接种三联疫苗/口服脊髓灰质炎疫苗3/卡介苗/麻疹疫苗的儿童在这两个区域仅为30.0%和37.3%。三联疫苗和口服脊髓灰质炎疫苗I至III的接种中断率为16 - 18%。三联疫苗和口服脊髓灰质炎疫苗II与III之间的接种中断率高于三联疫苗和口服脊髓灰质炎疫苗II与II之间的接种中断率。未接种疫苗儿童的比例在农村地区(8.0%)显著高于城市地区(2.3%)。大部分免疫接种由健康中心完成。定期进行的覆盖率评估调查将显示疫苗接种覆盖率目标是否已经实现。